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MRS. DENISE COLETTE JEROME P.T.
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1700961851
Individual Registrant:MRS. DENISE COLETTE JEROME P.T.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3677 COLLEGE RD SUITE 12 FAIRBANKS, AK 99709-3712 US
Tel: 907-479-3800 Fax: 907-479-9195
Tel: 907-479-3800 Fax: 907-479-9195
Contact information for business:
680 DALTON TRL FAIRBANKS, AK 99709-6530 US
Tel: 907-479-3800 Fax: 907-479-9195
Tel: 907-479-3800 Fax: 907-479-9195
Registration Information:
NPI: 1700961851
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | AK | 1607 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PT1607 | AK | 05 | |
| NPI # EQUINOX,INC | 1972643138 | AK | 01 |
